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Student Records Release Authorization

Must contain a date in M/D/YYYY format
Student's Name requiredMarried alumnae: Please include your maiden name so we can provide your transcript!
First Name
Maiden (optional)
Last Name
Married alumnae: Please include your maiden name so we can provide your transcript!
Must contain a date in M/D/YYYY format
Permission
Delivery Methodrequired
Student's Electronic Signature requiredPlease type first and last name to represent student signature.
First Name
Last Name
Please type first and last name to represent student signature.
Electronic Signature of Parent/Guardian required*Required if student is under 18 Please type first/last name in box.
First Name
Last Name
*Required if student is under 18 Please type first/last name in box.